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ELIZABETH A.NEVILLE may. y�; Town Hall, 53095 Main Road
TOWN CLERK � = ¢ P.O. Box 1179
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REGISTRAR OF VITAL STATISTICS Southold,New York 11971
Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER
MARRIAGE OFFICER ``may® �o� II��, Telephone(516) 765-1800
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FREEDOM OF INFORMATION OFFICER : ' jig i"
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 3831-R Residential X Non-Residential
Fee $ 10.00 New X Existing
Name Of Owner BUNDRICK, WILLIAM AND LINDA
Mailing Address 1 7 LOWELL DRIVE
Mailing Address 2
City St Zip FARMINGDALE NY 00000-0000
Property Address 1 690 MEADOW BEACH LANE
Property Address 2
City St Zip MATTITUCK NY 11952-0000
Owner Telephone No. 000-000-0000
Tax Map No. section 115.00 block 17 lot 17.007
Cross Street WILLIS CREEK DRIVE
Issue Date: 11/27/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
OFFICE OF THE TOWN CLERK cVFFD(A'
TOWN OF SOUTHOLD � COIj�� Application No. 363/
ELIZABETH A.NEVILLE,TOWN CLERK . :i~�� `; y
$10.00 - Residential Q�
P.O.BOX 1179 7.)
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SOUTHOLD,NEWYORK 11971 4! f.�:. : � $25.00 - Non-Residential
• Telephone 01 `j►�
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. i g p.0
Fee $ /0,00
DATE 1 1/13
A N 1
OWNER NAME: Liorbp_' C , , )1/o! ftpa) L,vbj
OWNER MAILING ADDRESS:
OWNER PROPERTY ADDRESS: - (AO LA-A..pg
I19s.
OWNER TELEPHONE NUMBER:
TAX MAP NO. : Section ( p5 Block n Lot fl 0®-7
9 L
CROSS STREET: jd,..14,5 Cieugg v1✓
TYPE OF 'SYSTEM: Septic Tank New Existing
Cesspool ie NewExisting
Residential V- Non-Residential
•
LOCATION MAP: Must be attached hereto before permit may be issued.
(Locate building and system; give north arrow and feet
of distance, approximately, to building and closest road.)
•
Signature of Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
A
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Young ` o
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\ Lot 36 & Young, Land Surveyors
IIun J 400 Ostrander Avenue, Riverhead, New York 11901 trF'
516-727-2303 ;
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Lot 6 \ \\\\\\\\\\\
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Alden W. Young, P.E & L.S. (1908-1994) "
ti r �C� Howard W. Young, Land Surveyor €?
$tanaiag \+ ri\°5
(�R� Thomas C. Wolper& rofessional Engineer
£n iaerrin �� VKenneth F. Abruzzo, Land Surveyor
B B5�Od % �P,3aMj , John Schnurr, Land Surveyorburvyiag \ • r �t
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�j0~ \•� O NOTES: • = MONUMENT FOUND ♦ = STAKE FOUND
\ 685 tt �� v= g.
1. SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK ]
\ 1, ;� \�•oa\ — COUNTY ON AUG. 21, 1987 AS FILE N0. 8377.
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�° 1't Q � SUFFOLK COUNTYDEPARTMENT OFHEALTH SERVICES g8
\t \•� O I APPROVAL OF^ONS77tUC1Er 1yORIis FOR e�
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A SINGLE FAMILY RESIDENCEil
��, �\s� yfi �• +�Off• I i'a•c I � ;
Drainage Area 10.LUAY�piLS.Ret.No.& 0`.1_ _________001�1� � s
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2 m����\ �,,I 7+�`\ rs,,,,',ao:d spoil and water=pp!),facilities el th::iocaho,r rs, wen Ari
G"o s• 1-C--�I�p o �•W� Lot 26 ='"Adler mrb icd by this Derr
( x"satisfactory other ae to cid mend to% g�
aoE
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p ntor
NN \• isfactoryFOR 1AXIMUMOF D ROOMS. g_€
hen A..^ossa P,E Ch;ef
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To o.,\
h v •� Office of Water and W
`/`�\ astewater Management
^•Y Lot 7 14,
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Area = 49210 s.f. °
\ = i �^ ' OCT. 27, 1998 FINAL SURVEY
i \ A\• a, �^ MAY 11, 1998 ADDED CERTIFICATIONS
APR. 22, 1998 FOUNDATION LOCATION �,
\ I Evcf op \°� ;`i 41i MAR. 23, 1998 STAKED FOR CONSTRUCTION g��t
etc
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‘1"33 ��_ \ FEB 18, 1998 �o
BUILDING PERIMT DATA
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R� �� o O DATE: REVISIONS: 4th
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X44 _"-..AGE— r a o
S, W '''t,N a, -/ -r,
\� yJ� SURVEY FOR: V=r
e e MF\ /��o`' I WILLIAM BUNDRICK AND LINDA L. BUNDRICK r4V
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\r v,6 �,�c�'b• LOT NO. 7, "HARBOR VIEW AT MATTITUCK" �$
231 `��' e
�� \ At: MATTITUCK Town of: SOUTHOLD °
�9 , � Suffolk County, New Yorks
Lot 8 � _ ,
r2" ��(/� NY/p Stiff. Co. Tax Map: 1000 115 17 17 7 goy
District Section Block Lot
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00� G CERTIFIED TO:
g"aim
WILLIAM BUNORICK "
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/ /C9 Lot 2D \---..".4„,
LINDA L. TITLE INSURANCE
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In / ) \ CHICAGO TITLE INSURANCE COMPANYo
o� / /�=v SUFFOLK COUNTY NATIONAL BANK ¢" ,
lid9�y =„b5
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As we - DATE :JAN. 28, 1998 040/
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OO \ SCALE :1" _-50' ,8h�
JOB NO. :98 - 0059 =_o¢
SHEET NO. :1 OF 1 34
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"980059.DWG"